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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
versión impresa ISSN 2225-5109versión On-line ISSN 2227-4731
Resumen
DAVILA-HERNANDEZ, Carlos A.. Primary splenic echinococcosis with brief review of the literature: about a case. Rev. Cuerpo Med. HNAAA [online]. 2023, vol.16, n.1, pp.147-150. Epub 27-Mayo-2023. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2023.161.1833.
Introduction:
Splenic echinococcosis is a zoonotic disease accidentally acquired by humans as an intermediate host.
Case report:
a 26-year-old female patient with abdominal pain located in the left hypochondrium, moderate intensity, calmed with intravenous antispasmodics; a history of long-standing abdominal pain and from the Huancavelica region, Peru, 6 years ago. On clinical examination of the abdomen: hydro-air sounds; present, symmetrical, soft, depressible, painful on palpation in the left hypochondrium, impression of splenomegaly, preserved tympany; the ultrasound mentions a hydatid cyst at the level of the spleen Gharbi IV; Contrast-enhanced abdominal and pelvic tomography shows a spleen with a heterogeneous cystic lesion, with a partially calcified wall and areas of fatty density that extend to the gastrosplenic ligament, with a diameter of 73 mm x 54 mm; concluding extrahepatic echinococcosis (splenic echinococcosis), performing total splenectomy.
Conclusion:
rare disease, even in endemic areas, which poses challenges for its diagnosis and treatment.
Palabras clave : left hypochondrium; splenic echinococcosis; computed axial tomography.